NPIMap

Organization Active NPI

Your Health Network, Inc.

  • Counselor
  • Greenbelt, MD
National Provider Identifier
1194113563
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
YOUR HEALTH NETWORK, INC.
Doing business as
Evergreen Health Care
Practice address
7501 Greenway Center Dr
Building 3, Suite 600
Greenbelt, MD 20770-3514
Phone
(240) 542-0170
NPI assigned
Jan 7, 2015
Organization subpart
Yes
Parent organization
YOUR HEALTH NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica L Kohnen
Title
Executive Director
Phone
(443) 451-4973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

7501 Greenway Center Dr
Building 3, Suite 600
Greenbelt, MD 20770-3514

Mailing address

3000 Falls Rd
Suite 1
Baltimore, MD 21211-2474

Other identifiers 1

IdentifierTypeStateIssuer
5354021MedicaidMD

Other names 1

  • Evergreen Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Your Health Network Inc5 organizations share this tax ID, including this one
Part of
Your Health Network Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3000 Falls Rd
Ste 1
Baltimore, MD 21211
Phone (443) 451-3873

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1194113563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FALLS RD",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR",
            "address_2": "BUILDING 3, SUITE 600",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703514",
            "telephone_number": "240-542-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUR HEALTH NETWORK, INC.",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "KOHNEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-451-4973"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5354021",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.